Four clients are seated at a table when the nurse brings in medications for one client.
The nurse will determine identity by:
Asking which of the clients is supposed to have medications now.
Stating, "You are Mrs. Wilson, aren't you?".
Asking whether anyone knows Mrs.Wilson.
Checking the client's identification bracelets as the client states their name.
The Correct Answer is D
Choice A rationale
Asking which client is supposed to have medications compromises patient privacy and could lead to medication errors if an incorrect patient self-identifies. Proper patient identification is a fundamental safety measure, requiring objective verification to ensure the right medication is administered to the right patient.
Choice B rationale
Stating the patient's name and expecting a confirmation ("You are Mrs. Wilson, aren't you?") is a leading question and does not independently verify identity. A patient could respond affirmatively without truly being Mrs. Wilson, increasing the risk of medication errors by not adhering to objective verification protocols.
Choice C rationale
Asking if anyone knows Mrs. Wilson is an inappropriate and unprofessional method for patient identification. It breaches patient confidentiality and does not provide a reliable or direct means of verifying the intended recipient of medication, potentially leading to significant medication safety issues.
Choice D rationale
Checking the client's identification bracelets while the client states their name provides two independent identifiers, which is a standard and highly reliable method for patient identification. This dual verification minimizes the risk of medication errors by confirming both physical identification and the patient's verbal confirmation before administration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Avoiding palpation of tender areas completely would be an incomplete assessment. While direct, forceful palpation of an acutely tender area should be approached cautiously, it is essential to gently assess the area's boundaries, consistency, and the presence of rebound tenderness or guarding to gather crucial diagnostic information.
Choice B rationale
Examining the tender area first in an abdominal assessment can cause significant pain and muscle guarding, making it difficult to assess other quadrants effectively and potentially skewing the assessment findings. This approach can also reduce patient cooperation for the remainder of the examination.
Choice C rationale
Auscultation for bowel sounds typically precedes palpation in an abdominal assessment because palpation can alter bowel motility and therefore the character of bowel sounds. While palpating the tender area last is correct, performing auscultation after palpation would introduce an artifact.
Choice D rationale
Examining the tender area last is the correct technique during an abdominal assessment. This approach minimizes patient discomfort, allows for a more thorough and accurate assessment of the non-tender areas first, and helps to establish rapport before eliciting potential pain, thereby ensuring a more reliable and complete examination.
Correct Answer is ["180"]
Explanation
Step 1 is: Convert grains to milligrams using the conversion factor 1 grain = 60 mg. 3 gr × 60 mg/gr = 180 mg. Final calculated answer: 180 mg
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